Presentation
History of left nephrectomy. For follow-up.
Patient Data
Age: 55 years
Gender: Female
From the case:
Ureteric jet - CT intravenous urogram
{"study":{"id":18579,"case_slug":"ureteric-jet-ct-intravenous-urogram","modality":"CT","series":[{"id":2147336,"content_type":"image/jpeg","frames":[{"id":2147333,"width":661,"height":759},{"id":2147334},{"id":2147335},{"id":2147336,"current":true},{"id":2147337},{"id":2147338},{"id":2147339},{"id":2147340},{"id":2147341}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"963ca65a841e32ced89225b2d28b51_tiny.jpg","jumbo":"963ca65a841e32ced89225b2d28b51_jumbo.jpg","small":"963ca65a841e32ced89225b2d28b51_small.jpg","thumb":"963ca65a841e32ced89225b2d28b51_thumb.jpg","medium":"963ca65a841e32ced89225b2d28b51_medium.jpg","gallery":"963ca65a841e32ced89225b2d28b51_gallery.jpg","big_gallery":"963ca65a841e32ced89225b2d28b51_big_gallery.jpg","original":"963ca65a841e32ced89225b2d28b51.jpg"},{"tiny":"55c9dfd62cc8e6a2c70bfe73daaaea_tiny.jpg","jumbo":"55c9dfd62cc8e6a2c70bfe73daaaea_jumbo.jpg","small":"55c9dfd62cc8e6a2c70bfe73daaaea_small.jpg","thumb":"55c9dfd62cc8e6a2c70bfe73daaaea_thumb.jpg","medium":"55c9dfd62cc8e6a2c70bfe73daaaea_medium.jpg","gallery":"55c9dfd62cc8e6a2c70bfe73daaaea_gallery.jpg","big_gallery":"55c9dfd62cc8e6a2c70bfe73daaaea_big_gallery.jpg","original":"55c9dfd62cc8e6a2c70bfe73daaaea.jpg"},{"tiny":"3131dc4760069b0f070f610d06eb21_tiny.jpg","jumbo":"3131dc4760069b0f070f610d06eb21_jumbo.jpg","small":"3131dc4760069b0f070f610d06eb21_small.jpg","thumb":"3131dc4760069b0f070f610d06eb21_thumb.jpg","medium":"3131dc4760069b0f070f610d06eb21_medium.jpg","gallery":"3131dc4760069b0f070f610d06eb21_gallery.jpg","big_gallery":"3131dc4760069b0f070f610d06eb21_big_gallery.jpg","original":"3131dc4760069b0f070f610d06eb21.jpg"},{"tiny":"a11353000af6d30644f905896290cb_tiny.jpg","jumbo":"a11353000af6d30644f905896290cb_jumbo.jpg","small":"a11353000af6d30644f905896290cb_small.jpg","thumb":"a11353000af6d30644f905896290cb_thumb.jpg","medium":"a11353000af6d30644f905896290cb_medium.jpg","gallery":"a11353000af6d30644f905896290cb_gallery.jpg","big_gallery":"a11353000af6d30644f905896290cb_big_gallery.jpg","original":"a11353000af6d30644f905896290cb.jpg"},{"tiny":"ecf2339489aa3ba748d7aefe29dbcb_tiny.jpg","jumbo":"ecf2339489aa3ba748d7aefe29dbcb_jumbo.jpg","small":"ecf2339489aa3ba748d7aefe29dbcb_small.jpg","thumb":"ecf2339489aa3ba748d7aefe29dbcb_thumb.jpg","medium":"ecf2339489aa3ba748d7aefe29dbcb_medium.jpg","gallery":"ecf2339489aa3ba748d7aefe29dbcb_gallery.jpg","big_gallery":"ecf2339489aa3ba748d7aefe29dbcb_big_gallery.jpg","original":"ecf2339489aa3ba748d7aefe29dbcb.jpg"},{"tiny":"887d5a5504fb9a8a241e14d8eaef7d_tiny.jpg","jumbo":"887d5a5504fb9a8a241e14d8eaef7d_jumbo.jpg","small":"887d5a5504fb9a8a241e14d8eaef7d_small.jpg","thumb":"887d5a5504fb9a8a241e14d8eaef7d_thumb.jpg","medium":"887d5a5504fb9a8a241e14d8eaef7d_medium.jpg","gallery":"887d5a5504fb9a8a241e14d8eaef7d_gallery.jpg","big_gallery":"887d5a5504fb9a8a241e14d8eaef7d_big_gallery.jpg","original":"887d5a5504fb9a8a241e14d8eaef7d.jpg"},{"tiny":"936ec2f5634e5ee99269f299ca1728_tiny.jpg","jumbo":"936ec2f5634e5ee99269f299ca1728_jumbo.jpg","small":"936ec2f5634e5ee99269f299ca1728_small.jpg","thumb":"936ec2f5634e5ee99269f299ca1728_thumb.jpg","medium":"936ec2f5634e5ee99269f299ca1728_medium.jpg","gallery":"936ec2f5634e5ee99269f299ca1728_gallery.jpg","big_gallery":"936ec2f5634e5ee99269f299ca1728_big_gallery.jpg","original":"936ec2f5634e5ee99269f299ca1728.jpg"},{"tiny":"d67003edb803f81662cfe5d7b1e479_tiny.jpg","jumbo":"d67003edb803f81662cfe5d7b1e479_jumbo.jpg","small":"d67003edb803f81662cfe5d7b1e479_small.jpg","thumb":"d67003edb803f81662cfe5d7b1e479_thumb.jpg","medium":"d67003edb803f81662cfe5d7b1e479_medium.jpg","gallery":"d67003edb803f81662cfe5d7b1e479_gallery.jpg","big_gallery":"d67003edb803f81662cfe5d7b1e479_big_gallery.jpg","original":"d67003edb803f81662cfe5d7b1e479.jpg"},{"tiny":"29c2179dedd720d8748598480a4d11_tiny.jpg","jumbo":"29c2179dedd720d8748598480a4d11_jumbo.jpg","small":"29c2179dedd720d8748598480a4d11_small.jpg","thumb":"29c2179dedd720d8748598480a4d11_thumb.jpg","medium":"29c2179dedd720d8748598480a4d11_medium.jpg","gallery":"29c2179dedd720d8748598480a4d11_gallery.jpg","big_gallery":"29c2179dedd720d8748598480a4d11_big_gallery.jpg","original":"29c2179dedd720d8748598480a4d11.jpg"}]},"perspective":"Axial","specifics":"renal excretory phase"},{"id":2147396,"content_type":"image/pjpeg","frames":[{"id":2147396,"width":661,"height":759,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"2ef67667fb6fd2b4ccefc185dbfb06_tiny.jpg","jumbo":"2ef67667fb6fd2b4ccefc185dbfb06_jumbo.jpg","small":"2ef67667fb6fd2b4ccefc185dbfb06_small.jpg","thumb":"2ef67667fb6fd2b4ccefc185dbfb06_thumb.jpg","medium":"2ef67667fb6fd2b4ccefc185dbfb06_medium.jpg","gallery":"2ef67667fb6fd2b4ccefc185dbfb06_gallery.jpg","big_gallery":"2ef67667fb6fd2b4ccefc185dbfb06_big_gallery.jpg","original":"2ef67667fb6fd2b4ccefc185dbfb06.jpg"}]},"perspective":"Sagittal","specifics":"renal excretory phase"},{"id":2147403,"content_type":"image/pjpeg","frames":[{"id":2147403,"width":661,"height":759,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"1c0b638a72b0e6133dd76737188a1e_tiny.jpg","jumbo":"1c0b638a72b0e6133dd76737188a1e_jumbo.jpg","small":"1c0b638a72b0e6133dd76737188a1e_small.jpg","thumb":"1c0b638a72b0e6133dd76737188a1e_thumb.jpg","medium":"1c0b638a72b0e6133dd76737188a1e_medium.jpg","gallery":"1c0b638a72b0e6133dd76737188a1e_gallery.jpg","big_gallery":"1c0b638a72b0e6133dd76737188a1e_big_gallery.jpg","original":"1c0b638a72b0e6133dd76737188a1e.jpg"}]},"perspective":"3D MIP","specifics":null},{"id":2147410,"content_type":"image/pjpeg","frames":[{"id":2147410,"width":661,"height":759,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"284f81a481975a6b37236275aa8f72_tiny.jpg","jumbo":"284f81a481975a6b37236275aa8f72_jumbo.jpg","small":"284f81a481975a6b37236275aa8f72_small.jpg","thumb":"284f81a481975a6b37236275aa8f72_thumb.jpg","medium":"284f81a481975a6b37236275aa8f72_medium.jpg","gallery":"284f81a481975a6b37236275aa8f72_gallery.jpg","big_gallery":"284f81a481975a6b37236275aa8f72_big_gallery.jpg","original":"284f81a481975a6b37236275aa8f72.jpg"}]},"perspective":"3D VR","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"\u003cp\u003eCT IVP, i.e. initial injection of radiographic contrast (30 ml) followed by a delay of 15 minutes then dynamic contrast enhanced scan with 70 ml of contrast.\u003c/p\u003e","gb":"\u003cp\u003eCT IVP, i.e. initial injection of radiographic contrast (30 ml) followed by a delay of 15 minutes then dynamic contrast enhanced scan with 70 ml of contrast.\u003c/p\u003e"},"contributor_login":"chrisodonnell","case_id":18679,"case_key_image_id":2147336,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false}}
CT IVP, i.e. initial injection of radiographic contrast (30 ml) followed by a delay of 15 minutes then dynamic contrast enhanced scan with 70 ml of contrast.
Case Discussion
This finding is commonly seen on ultrasound but rarely on CT - should not be confused with bladder pathology and can be quite striking as in this case.